ASSESSMENT EXTENSION REQUEST FORM (English&Foundation)

Instruction: For use by students who wish to request an extension of the assessment(s) deadline.

Section 1: Student details

First name *

Last name *

Student ID number *

Email address *

Phone/mobile number *

Section 2: Grounds for the request

Length of extension requested *

ATTENTION

Your request cannot be processed via this form.

Please contact the subject lecturer directly.

Assessment due date? * +

Please note: You cannot request an extension if there are less than two business days before the due date.

Reason for the request (please select): *

Section 2: Assessment details

Course type *

Subject *

Assessment name (as per subject outline) *

Assessment number (as per subject outline) *

Section 3: Supporting documentation

Please upload any supporting evidence *

Reasons for the request *

ATTENTION

Your request will be sent to the Wellness Team Leader, and you will be contacted shortly.

ATTENTION

Your request will be sent to a Student Disability Support Officer and they will contact you shortly.

Section 4: Declaration

Declaration statement * 🛈

I have read and understood the process and requirements of the Assessment Submission, Extension and Feedback Procedures.

I understand this is a request for assessment extension and if declined late assessment penalties may apply.

I declare that the information provided by me on this form is true and correct.

I agree and provide my permission to the Institution to the release of personal information for the purpose of resolving this matter.

International College of Management, Sydney Pty Ltd ACN 003 144 045 ATF The ICTHM Trust ABN 54 174 259 919, trading as International College of Management, Sydney and Aspire Institute, Aspire English, International Sport College of Australia CRICOS Provider Code: 01484M, RTO Code: 90851, TEQSA ID: PRV12025